Archive for Sunday, March 4, 2018

Editorial: Step up efforts to prevent opioid abuse

The opioid death rate in Kansas has quadrupled in the past 16 years. It’s time to take action.

March 4, 2018

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Kansas Gov. Jeff Colyer was right to create a task force to study opioid addiction and make recommendations for ways to address the issue.

Although the opioid addiction crisis is more extreme in other parts of the country, the statistics in Kansas are alarming. In signing an executive order creating the task force, Colyer cited statistics showing that opioid deaths in Kansas totaled 35 in 2000 but had climbed to 159 by 2016. That equates to a quadrupling of the per capita opioid death rate, from 1.3 deaths per 100,000 people to 5.5 deaths per 100,000 people.

Overall, Kansas ranks just 45th out of 50 state in its drug overdose rate of 11.3 deaths per 100,000 people, according to the Centers for Disease Control. But Kansas need look no further than neighboring Missouri, 23.6 overdose deaths per 100,000 people, and Oklahoma, 21.5 deaths per 100,000 people, for the toll the opioid crisis can take.

"I have had patients die," said Colyer, a plastic surgeon. "I have seen people have their lives ruined. And I've also seen them recover as well."

There has been extensive research into the opioid crisis, and it is clear that a two-pronged approach is needed — one that focuses on increased funding for treatment of those suffering from addiction and another that focuses on legislation that appropriately limits the flow of opioids, including prescription medications sold legally as well as those like heroin that are sold illegally.

It is well documented that the roots of the current opioid crisis began in the 1990s when physicians — encouraged and often incentivized by pharmaceutical companies — increased the use of prescription opioids to manage patient pain. Prescription painkillers such as oxycontin and vicodin became commonplace in households, creating easy access to opioids for a generation of teenagers.

Those who develop an addiction to prescription painkillers often eventually move on to heroin and synthetic fentanyl, drugs that rose in availability and dropped in price as the prescription drug epidemic increased. A 2014 Journal of American Medical Association study showed that 75 percent of heroin addicts in treatment started with prescription painkillers.

"One of the things that is happening in other states is that as the prescription use has changed, it is being substituted by heroin," Colyer said. "So we need law enforcement and everybody involved in this. This is not a simple question."

The task force will be chaired by Dr. Jeff Lakin, the state's chief medical officer and a former Republican state lawmaker from Wichita, and will include members from the Department of Corrections, Department for Children and Families, the Department for Aging and Disability Services and several other agencies, as well as people appointed by lawmakers from both parties.

Given that Kansas’ opioid death rate has quadrupled in 16 years, it is hard to imagine things could be worse, but the stories from around the nation show otherwise. The creation of a task force to study and recommend solutions is the minimum the state should be doing.

Comments

Ken Lassman 1 month, 2 weeks ago

I would hope that this task force comes up with recommendations in short order. If Kansas is behind the curve nationally in addiction rates, they no doubt can learn much from other states who have travelled further down the road both in the number of addictions and in the steps taken to prevent further and/or cope with the expanding problem. I would think it would be instructive to ask other states: if you were in the place where Kansas currently is, what do you wish you had done then and why?

Joshua Cain 1 month, 2 weeks ago

I'm not sure I am seeing much of a difference between the NRA and big pharma. Why aren't we hearing more about big pharma's role in lobbying and interchangeable personnel between companies and government? Lets not forget the death toll from their even more deadly product has had on our country.

Bruce Weber 1 month, 2 weeks ago

The only difference is Pharma-100+ in billions, Gun industry & nra 1+ in billions equates to more lobby money. In 2012 259 million opioid prescriptions were written, enough for every adult American to have their own bottle of pills. Big Pharma Drug Cartels spent 2.8 billion dollars on lobbying congress, they have 2 lobbyists for every congressman. donnies answer appoint Tom Marino as drug czar, the former deal agent turn lobbyists the chief advocate for a 2016 law that hobbled the dea abilities to inforce drug laws. Another example of allowing corporate profits over human lives. As hard as it is to trust Internet information, the truth is still there you have to look for it.. goggle Meet 60 Minutes DEA whistleblower

Ken Lassman 1 month, 2 weeks ago

Alas Trump is the modern Trojan Horse for his own special interests and those with the deepest pockets. Perhaps he's the Trojan Tapeworm.

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